Mobilization & Manipulation of the Shoulder Flashcards
Low grade mobilization is performed in the ___ and stopping short of ___
performed in the available joint play and stopping short of tissue resistance
Does low grade mobilization stretch tissue?
No
Low grade mobilization is often applied using an ___ technique
oscillating technique
Low grade mobilization of the shoulder is used when ___ is the dominant symptom
pain
What is the purpose of low grade mobilization of the shoulder?
- Pain control
- Move synovial fluid
- Muscle relaxation
- Maintain joint play when ROM is not allowed
High grade mobilization finds and moves into ___ but never exceeds ___
moves into tissue resistance but never exceeds the limits of anatomic integrity
Does high grade mobilization stretch tissue?
Yes
High grade mobilization is often applied using one of two techniques:
- Small amplitude oscillations
- Sustained hold
Which symptoms are most appropriate for high grade mobilization of the shoulder?
Stiffness and joint restriction
If a patient’s dominant symptom is pain in the shoulder, what type of mobilization is most appropriate?
Low grade mobilization
If a patient’s dominant symptoms are stiffness and joint restriction in the shoulder, what type of mobilization is most appropriate?
High grade mobilization
Which type of mobilization is less aggressive?
Which is more aggressive?
Low grade is less aggressive
High grade is more aggressive
Which position of shoulder mobilization is less aggressive?
Which is more aggressive?
Open-packed is less aggressive
Greater degrees of flexion, extension, or abduction are more aggressive
Which motions of the shoulder are less aggressive?
Which are more aggressive?
Distraction is less aggressive
Glide and rotation are more aggressive
Lateral distraction in open-packed position of the shoulder is ___ grade mobilization
low grade mobilization
Long axis traction in open-packed position of the shoulder is ___ grade mobilization
low grade mobilization
Circumduction in open-packed position of the shoulder is ___ grade mobilization
low grade mobilization
Anterior and posterior glide in open-pack position of the shoulder is ___ grade mobilization
low grade mobilization
Lateral distraction in open-packed position of the shoulder is ___ grade mobilization
high grade mobilization
Lateral distraction in 90 degree flexion of the shoulder is ___ grade mobilization
high grade mobilization
Long axis traction in open-packed position of the shoulder is ___ grade mobilization
high grade mobilization
Posterior glide in open-packed position with 90 degree flexion of the shoulder is ___ grade mobilization
high grade mobilization
Inferior glide in 90 degree flexion or 90 degree abduction of the shoulder is ___ grade mobilization
high grade mobilization
Pure rotation will cause joint ___
compression
What is an effective way to utilize rotation without adding joint compression?
Remove joint slack in rotation and then apply distraction or glide
Lateral distraction in open-packed position of the shoulder combined with rotation is ___ grade mobilization
high grade mobilization
Anterior glide in open-packed position of the shoulder combined with rotation is ___ grade mobilization
high grade mobilization
Posterior glide in open-packed position of the shoulder combined with rotation is ___ mobilization
high grade mobilization
What is the progression of mobilization for pain in the shoulder?
Low grade:
- Distraction
- Distraction/glide (S-I)
- Glide
What is the progression of mobilization for stiffness/joint restriction in the shoulder?
High grade:
- Distraction
- Distraction/glide (S-I)
- Glide
- Rotation (with distraction or glide)
